Maine Health Exclusion Program Integrity

Listing Websites about Maine Health Exclusion Program Integrity

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Program Integrity Department of Health and Human Services

(8 days ago) WEBProgram Integrity. 11 State House Station. Augusta, ME 04333-0011. (207) 287-4660. Program Integrity (PI) is responsible for monitoring and safeguarding the MaineCare program against fraud, abuse and waste through an audit process, driven by referrals …

https://www.maine.gov/dhhs/oms/providers/program-integrity

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Program Integrity Fraud Prevention & Detection - Search - Maine

(2 days ago) WEBSimply enter the last name of the individual/entity, or the first 3 letters of the name, in the box and click on the button labeled "Search" Possible matches will display in the section …

https://mainecare.maine.gov/Meex/meex.aspx

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Program Integrity Excluded Providers - Health PAS-OnLine

(1 days ago) WEBThis site is intended to assist providers with a quick way to research whether an individual/entity is on the MaineCare exclusion list. Simply enter the last name of the …

https://mainecare.maine.gov/mhpviewer.aspx?FID=MEEX

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Prohibited to Employ Individuals Excluded by Maine or Federal

(7 days ago) WEBDepartment of Health and Human Services 109 Capitol Street 11 State House Station Augusta, Maine 04333. Phone: (207) 287-3707 FAX: (207) 287-3005 …

https://www.maine.gov/dhhs/oms/providers/provider-bulletins/prohibited-employ-individuals-excluded-maine-or-federal-government-2022-11-18

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Employing Excluded Individuals - Maine.gov

(3 days ago) WEBMaine Department of Health and Human Services MaineCare Services - Program Integrity 11 State House Station Augusta, Maine 04333-0011 Tel: (207) 287-4660; Fax: …

https://www1.maine.gov/dhhs/sites/maine.gov.dhhs/files/inline-files/PI-Effects-Employing-Excluded-Individuals.pdf

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Department of Health and Human Services - Maine DHHS

(8 days ago) WEBTo enable the OMS Program Integrity Unit to implement appropriate sanctions, the final rule allows the Department, in its discretion, to consider a request …

https://www1.maine.gov/dhhs/oms/about-us/policies-rules/recently-adopted-rules

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Federal and State Exclusion Databases - maine.gov

(4 days ago) WEBMaine Department of Health and Human Services MaineCare Services - Program Integrity 11 State House Station Augusta, Maine 04333-0011 Tel: (207) 287-4660; Fax: …

https://www1.maine.gov/dhhs/sites/maine.gov.dhhs/files/inline-files/PI-Exclusion-Databases.pdf

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Prohibited to Employ Individuals Excluded by Maine or …

(9 days ago) WEBSearch for People Excluded by the Federal Government. To check whether a person is excluded by the federal government, providers can use the Office of Inspector General …

https://mainecare.maine.gov/Provider%20Enrollment%20Guides/Special%20Tools/Prohibited%20to%20Employ%20Individuals%20Excluded%20by%20Maine%20or%20Federal%20Government.pdf

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OMS Program Integrity Department of Health and Human Services

(3 days ago) WEBDHHS → OMS Program Integrity OMS Program Integrity. Reporting Form. I am reporting: Health and Human Services Augusta, Maine 04333. Phone: (207) 287 …

https://www.maine.gov/dhhs/form/oms-program-integrity

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Policies & Rules Department of Health and Human Services

(4 days ago) WEBCase Mix, Private Duty Nursing, and Home Health; Program Integrity; Provider Directory; DHHS → Office of MaineCare Services Health and Human …

https://www.maine.gov/dhhs/oms/about-us/policies-rules

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Program Integrity Medicaid

(2 days ago) WEBThe State Program Integrity Assessment (SPIA) is the CMS first national data collection on state Medicaid program integrity activities for the purposes of program evaluation …

https://www.medicaid.gov/medicaid/program-integrity/index.html

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Emergency Rules Department of Health and Human Services

(1 days ago) WEBg. Section 25.06-2, The Division of Program Integrity, because it only refers providers to Chapter I, which already applies to all providers. h. Maine is facing a …

https://www1.maine.gov/dhhs/oms/about-us/policies-rules/emergency-rules

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Department of Health and Human Services, Center for …

(4 days ago) WEBMaine Focused Program Integrity Review Final Report November 2019 1 Objective of the Review The Centers for Medicare & Medicaid Services (CMS) is committed to …

https://www.cms.gov/files/document/mefy19focusedpireviewfinalreportpdf.pdf

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Ensuring the integrity of public assistance programs

(8 days ago) WEBDepartment of Health and Human Services 109 Capitol Street 11 State House Station Augusta, Maine 04333. Phone: (207) 287-3707 FAX: (207) 287-3005 …

https://www.maine.gov/dhhs/blog/ensuring-integrity-public-assistance-programs-2020-05-07

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Maine Exclusion List - SecureEPLS

(8 days ago) WEBMaine Exclusion List. Maine provides its "Program Integrity Excluded Providers" which is a way to research whether an individual/entity is on the MaineCare exclusion list. …

https://www.secureepls.com/exclusion-databases/maine-exclusions-list

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MaineHealth Code of Ethical Conduct

(5 days ago) WEBIt is the policy of MaineHealth to protect the integrity of clinical decisions, health care education, indirectly results in unnecessary costs to a health care program. Abuse …

https://assets.mainehealth.io/s3fs-public/imported_images/Code-of-Ethical-Conduct.pdf

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MaineCare Notice of Agency Rule-making Adoption, MaineCare

(Just Now) WEBThe previous rule did not address retroactive enrollment for providers other than federally qualified health centers, rural health centers, and Indian health centers. …

https://www.maine.gov/dhhs/oms/providers/provider-bulletins/mainecare-notice-agency-rule-making-adoption-mainecare-benefits-manual-chapter-i-section-1

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Exclusions Office of Inspector General U.S. Department of Health

(4 days ago) WEBOIG maintains a list of all currently excluded individuals and entities called the List of Excluded Individuals/Entities (LEIE). Anyone who hires an individual or entity on the …

https://www.oig.hhs.gov/exclusions/index.asp

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Maine Health System Settles Case Involving Excluded Individual

(1 days ago) WEBOn August 24, 2018, St. Mary's Health System (St. Mary's), Lewiston, Maine, entered into a $68,497.32 settlement agreement with OIG. The settlement agreement resolves …

https://oig.hhs.gov/fraud/enforcement/maine-health-system-settles-case-involving-excluded-individual/

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Maine Mental Health Services Provider Settles Case Involving …

(9 days ago) WEBOn November 27, 2018, Spurwink Services (Spurwink), Portland, Maine, entered into a $61,461.00 settlement agreement with OIG. The settlement agreement resolves …

https://oig.hhs.gov/fraud/enforcement/maine-mental-health-services-provider-settles-case-involving-excluded-individual/

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Behavioral Health Integration at MaineHealth MaineHealth

(1 days ago) WEBThe MaineHealth Behavioral Health Integration (BHI) program helps people get effective and efficient care for mental and behavioral health problems through their primary care …

https://www.mainehealth.org/maine-behavioral-healthcare/about-maine-behavioral-healthcare/behavioral-health-integration-mainehealth

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340B Program Overview Department of Health and Human …

(2 days ago) WEBJan 29, 2024. MaineCare does not allow contract or retail pharmacies to enroll in the 340B Medicaid drug program, either directly or under subcontract with a 340B entity. …

https://www.maine.gov/dhhs/oms/providers/provider-bulletins/340b-program-overview-2024-01-29

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Taxonomy Code Requested on Claim Submissions – Portal Claims

(6 days ago) WEBDepartment of Health and Human Services 109 Capitol Street 11 State House Station Augusta, Maine 04333. Phone: (207) 287-3707 FAX: (207) 287-3005 TTY: …

https://www.maine.gov/dhhs/oms/providers/provider-bulletins/taxonomy-code-requested-claim-submissions-portal-claims-2024-04-25

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